An Ayurvedic Approach to Vrikka Rog: Case Study of Chronic Kidney Disease Management in a Pediatric Patient
DOI:
https://doi.org/10.48165/IRJAY.2026.90307Keywords:
Ayurveda, Panchkarma, Mutraghata, Mutrakshaya, Mutravaha srotas, Shaman Chikitsa, Shodhan, Vrikk RogAbstract
Chronic Kidney Disease (CKD), described in Ayurveda as Vrikk Rog and Mutravah Srotas Vyadhi, is attributed to the vitiation of Vata and Kapha doshas, along with the disturbance of Rakta and Medadhatus. This case study presents a 12-year-old male diagnosed with CKD, managed at the Jeena Sikho Lifecare Limited Clinic in Bhagalpur through a personalised Ayurvedic regimen. Treatment included specific Ayurvedic formulations, dietary modifications, and dosha–balancing interventions targeting Apana Vata and urinary obstructions. The patient demonstrated progressive clinical improvement, with notable relief in symptoms such as shoth (oedema), Mutravikara (urinary difficulty), Klama (fatigue), and respiratory discomfort. Laboratory findings corroborated clinical recovery, including a significant reduction in serum creatinine. Ayurvedic management, focusing on detoxification, metabolic correction, and rejuvenation, was found effective in improving both subjective well-being and objective health markers. This case supports the potential role of integrative Ayurvedic approaches in the supportive management of pediatric CKD.
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Maringhini, S., & Zoccali, C. (2024). Chronic kidney disease progression—A challenge. Biomedicines, 12(10), 2203. https://doi.org/10.3390/biomedicines12102203
Hill, N. R., Fatoba, S. T., Oke, J. L., Hirst, J. A., O'Callaghan, C. A., Lasserson, D. S., & Hobbs, F. D. R. (2016). Global prevalence of chronic kidney disease: A systematic review and meta-analysis. PLoS ONE, 11(7), e0158765. https://doi.org/10.1371/journal.pone.0158765
Jha, V., Garcia-Garcia, G., Iseki, K., Li, Z., Naicker, S., Plattner, B., Saran, R., Wang, A. Y., & Yang, C. W. (2013). Chronic kidney disease: Global dimension and perspectives. The Lancet, 382(9888), 260–272. https://doi.org/10.1016/S0140-6736(13)60687-X
KDIGO. (2013). KDIGO 2012 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney International Supplements, 3(1), 1–150.
Korsa, A., Tesfaye, W., Sud, K., Krass, I., & Castelino, R. L. (2025). Risk factor-based screening for early detection of chronic kidney disease in primary care settings: A systematic review. Kidney Medicine, 7(4), 100979. https://doi.org/10.1016/j.xkme.2025.100979
Pattaro, C., Teumer, A., Gorski, M., Chu, A. Y., Li, M., Mijatovic, V., Garnaas, M., Tin, A., Sorice, R., Li, Y., Taliun, D., Olden, M., Foster, M., Yang, Q., Chen, M. H., Pers, T. H., Johnson, A. D., Ko, Y. A., Fuchsberger, C., et al. (2016). Genetic associations at 53 loci highlight cell types and biological pathways relevant for kidney function. Nature Communications, 7, 10023. https://doi.org/10.1038/ncomms10023
Ramezani, A., & Raj, D. S. (2014). The gut microbiome, kidney disease, and targeted interventions. Journal of the American Society of Nephrology, 25(4), 657–670. https://doi.org/10.1681/ASN.2013080905
Tögel, F. E., & Westenfelder, C. (2010). Mesenchymal stem cells: A new therapeutic tool for acute kidney injury. Nature Reviews Nephrology, 6(3), 179–183. https://doi.org/10.1038/nrneph.2009.229
Chate, S. B., & Ranade, A. (2024). Ayurvedic pathogenesis of chronic kidney disease: A critical review. International Journal of Creative Research Thoughts, 12(11). https://ijcrt.org/papers/IJCRT2411055.pdf
Tiwari, H., Dang, P., Badyal, S., & Dhawan, P. (2024). Chronic kidney disease (CKD) pathogenesis in Ayurveda parlance: A review. International Ayurvedic Medical Journal, 8, 138–145. https://doi.org/10.46607/iamj06p8022024
Vaughan-Shaw, P. G., Saunders, J., Smith, T., King, A. T., & Stroud, M. A. (2013). Oedema is associated with clinical outcome following emergency abdominal surgery. Annals of the Royal College of Surgeons of England, 95(6), 390–396. https://doi.org/10.1308/003588413X13629960046552
Farncombe, M. (1997). Dyspnea: Assessment and treatment. Supportive Care in Cancer, 5(2), 94–99.
Madhukar, L. S., Nivrutti, B. A., Bhatnagar, V., & Bhatnagar, S. (2018). Physio-anatomical explanation of Abhyanga: An Ayurvedic massage technique for healthy life. Journal of Traditional Medicine & Clinical Naturopathy, 7(1), 252.
Rawat, V., Kumar, V., & Verma, S. (2020). Role of Shirodhara by Brahmi Taila in essential hypertension: A conceptual study. World Journal of Pharmaceutical and Medical Research, 6(10), 154–158.
Sharma, B., Shukla, G. D., & Sharma, P. (2020). Management of chronic kidney disease by Ayurveda with special reference to Basti. International Ayurvedic Medical Journal, 8(9), 4426–4430.
Gupta, A. K., & Gupta, T. (2020). Standard operative procedure and probable mode of action of Shiropichu. World Journal of Pharmaceutical and Medical Research, 6, 291–293.
Nikam, M. U. (2021). Shiroabhyanga: A review. Aayushi International Interdisciplinary Research Journal, 8(1).
Acharya, M., Chaudhary, G., Singh, S. P., Singh, M., & Richa, D. (2024). Clinical evaluation of chronic kidney disease management: Integrating lifestyle modification and Ayurveda. International Journal of AYUSH, 13(10), 12–25. https://doi.org/10.22159/prl.ijayush.v2013i10.1152
Garud, S., Chaudhary, A., & Kotecha, M. (2017). Pathya-Apathya: A peculiarity of Ayurveda. International Journal of Ayurvedic and Herbal Medicine, 7(4), 2635–2642. https://doi.org/10.18535/ijahm/v7i4.01
Hospital & Institute of Integrated Medical Sciences. (2026). What is DIP diet? How does it help cure kidney disease? https://hiims.in/blog/dip-diet-for-kidneys/
Suman, & Joshi, N. K. (2024). Millets: Forgotten grains with potential health benefits in Ayurveda with special reference to Kodrava. Journal of Ayurveda and Integrated Medical Sciences, 9(7), 230–236. https://doi.org/10.21760/jaims.9.7.35
Raut, R. G. (2014). Analytical study of Balaashwagandha Taila. International Journal of Ayurveda and Allied Sciences, 3, 171–176.
Parmar, D., Rathva, D., Pal, P., Upadhyay, S., & Upadhyay, U. (2021). A review on Brahmi oil. Journal of Research in Pharmacognosy and Natural Medicinal Products, 3(1), 1–13.
Bhowmik, D., Sampath Kumar, K. P., Srivastava, S., Paswan, S., & Sankar, A. (2012). Traditional Indian herb Punarnava and its medicinal importance. Journal of Pharmacognosy and Phytochemistry, 1(1), 52–58.
Prajwala, B., Raghu, N., Gopenath, T. S., & Basalingappa, K. M. (2019). Guduchi: Its medicinal properties. Journal of Plant Physiology and Pathology, 7(3), 2.
Deo, Y. K., & Reddy, K. R. C. (2013). Critical review on pharmacological properties of Brahmi. International Journal of Ayurvedic Medicine, 4(2), 92–99.
Bhola, S., & Rao, M. P. (2016). Are Rasapanchaka physical effects or pharmacological effects? A detailed review. World Journal of Pharmaceutical Research, 5, 404–415.
Mishra, S., Dash, R., & Kumar, S. (2024). Chronic kidney disease in light of Ayurveda: A literary review on Vataj Pandu. International Journal of Ayurveda and Pharma Research, 65–68. https://doi.org/10.47070/ijapr.v12i4.3193
Borkar, P., Yadav, V., Tiwari, R. R., & Samarth, R. M. (2022). A systematic review of potential candidates of herbal medicine in treatment of chronic kidney disease. Phytomedicine Plus, 2(4), 100361. https://doi.org/10.1016/j.phyplu.2022.100361
Patel, M., Patel, M., Patel, K., Wischnewsky, M., Stapelfeldt, E., Kessler, C. S., & Gupta, S. N. (2020). Deceleration of disease progress through Ayurvedic treatment in nondialysis stages IV–V patients with chronic renal failure: A quasi-experimental clinical pilot study with one-group pre- and post-design and two premeasurements. Journal of Alternative and Complementary Medicine, 26(5), 384–391. https://doi.org/10.1089/acm.2019.0419
Yan, Z., Wang, G., & Shi, X. (2021). Advances in the progression and prognosis biomarkers of chronic kidney disease. Frontiers in Pharmacology, 12, 785375. https://doi.org/10.3389/fphar.2021.785375
Patankar, S., Gorde, A., Patankar, S., Raje, R., Devanpally, C., Ausekar, P., Patil, G., & Chitale, S. (2025). A prospective, randomized, open-label, parallel-group comparative clinical trial to evaluate the safety and efficacy of combination herbal oral capsule and rectal medication to improve gut health of type 2 diabetic patients having chronic kidney disease. Journal of Ayurveda and Integrative Medicine, 16(2), 100992. https://doi.org/10.1016/j.jaim.2024.100992
Al Khodor, S., & Shatat, I. F. (2017). Gut microbiome and kidney disease: A bidirectional relationship. Pediatric Nephrology, 32, 921–931.


